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_� ® DATE (MM/pDM"rY) <br />oRO CERTIFICATE OF LIABILITY INSURANCE a /,6r�Q„ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PQ`ICIE8 <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHCiRIZEp <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED[ s41i�OCt tp <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confOr rlehts to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />vlarsh USA Inc. � - �� /� -� /� <br />1166 Avenue of the Americas 4 <br />Jew York, NY 10036 v�'1 -- <br />f� <br />NSURED _ <br />3implexGrinnell, LP <br />170'1 WEST SEQUOIA A"VE <br />GRANGE, CA 92868 - "' <br />Jnited States - <br />INSURER A: <br />AGCS Marine Insurance Company (Allianz) <br />ADD <br />22 @37 <br />INSURER B: <br />CHARTIS CASUALTY COMPANY <br />POLICY EXP <br />MM /DD /WVY <br />40$6@ <br />INSURER C: <br />Commerce 8 Industry Ins Co. <br />X <br />199,Q <br />INSURER D: <br />Illinois National Insurance Co. <br />70/'1 /20'12 <br />2� @�7 <br />INSURER E: <br />Nafl Union Fire Ins Co. of Pittsburc�h, PA <br />f $7.000.000.00 <br />18r44$ <br />INSURER F: <br />New Hampshire Ins. Co. <br />s $7.QOO,00Q.Qo <br />23@47 <br />COVERAGES � - CERTIFICATE NUMBER: 878743 - A REVISION NUMBER: <br />THIS IS TO CERTIFY TkINT TH�P_.�LICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITH�1`ANDIrQG:ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE - [ERNS. <br />FXCI I IRICINC ANrf RrlN rllTl(lNR rlF CI ICH Prll ICIFS 1 IMITC RHrI \AM MAY HA \/F RFFM IJFrII Ir�Ffl RV PAlrl r`I GIMC <br />VSR <br />_TR <br />TYPE OF INSURANCE <br />ADD <br />UBR <br />� � - <br />POLICY NUMBER <br />POLICY EFF <br />MM /DD /YYYY <br />POLICY EXP <br />MM /DD /WVY <br />LIMITS <br />GENERAL LIABILITY <br />X COMMERCIAL GE NE RAL_L IABIL ITY <br />CLAIMS -MADE [ J OCCUR <br />X <br />X <br />GL 2449607 (Primary GL) <br />10/1/2011 <br />70/'1 /20'12 <br />EACH OCCURRENCE <br />$ $7.ODO.000OQ <br />DANA E T R NT D <br />PREMISES Ea occurrence <br />f $7.000.000.00 <br />MED EXP (Any one person) <br />$ 570.000.00 <br />PERSONAL 8 ADV INJURY <br />s $7.QOO,00Q.Qo <br />OWNER'S 8 CONTRACTOR'S PROT <br />GENERAL AGGREGATE <br />$ �.9,QOO,000.OQ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS- COMP /OP AGG <br />$ ,,000,000.00 <br />X POLICY PRO LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />X <br />X <br />CA 3506468 (VA) <br />10/1/201 � <br />10/1 /20'12 <br />EOa aeccitleDt SINGLE LIMIT <br />�7,Qp0.000.00 <br />X <br />BODILY INJURY Par <br />( Person) <br />$ <br />- <br />- <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />CA 3506464 AOS <br />CA 3506465 MA ) <br />( ) <br />CA 3506466 (NH) (Primary AL) <br />10/1/201 � <br />10/'1 /20'11 <br />10/1/2011 <br />10/1/2012 <br />10/1 /2012 <br />10/1/2012 <br />BODILY INJURY (Per accitlent) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accitlent <br />___„ <br />$ <br />HIRED AUTOS X NON -OWNED <br />AVTOS <br />NEW HAMPSHIRE CSL <br />$ � 000. 0 <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />� <br />AGGREGATE PRODUCTS - <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />__ <br />DED RETENTION $ <br />NEW HAMPSHIRE (CSL <br />$ <br />- <br />_= <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY v/N <br />ANY PROPRIETOR /PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? � <br />(Mantlatory In NH) <br />It yes, describe untler <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />X <br />WC 015884005 (CT,GA,PA,SC) <br />WC 015884006 (FL) <br />WC 015884008 (MI) <br />WC 015884004 CA <br />( ) <br />WC 015884007 (MA, ND, OH, WA, <br />10/1/2011 <br />10/1/2011 <br />10/1/2011 <br />70/1/2011 <br />,0/1/2011 <br />10/1/2012 <br />10/1/2012 <br />10/1/2012 <br />70/1/2012 <br />10/1/2012 <br />X WC STATU- OT <br />E.L. EACH ACCIDENT <br />$ Si,000,000.00 <br />E. L. DISEASE -EA EMPLOYEE <br />S S�.QOQ,000•00 <br />E. L- DISEASE - POLICY LIMIT <br />� 52,0QO,000.D0 <br />> <br />Builder's RisWinsta llation /Contract Works <br />OC & OCW 91128600 <br />10/1/2011 <br />10/1/2012 <br />USD $1,000,000.00 per jobslte <br />> <br />Rental EquipmenVContractor's Equipment <br />OC 8 OCW 91128600 <br />10/1/2011 <br />10/1/2012 <br />USD 51,000,000.00 per jobslta <br />> <br />Blanket Transit <br />OC 8 OCW 91128600 <br />10/1/2011 <br />10/1/2012 <br />USD $1,000,000.00 per conVeygnce <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Atltllllonal Remarks Se hatlule, It more apace Is required) <br />'roj ect: ACCESS CONTROL SYSTEM AT SANTA ANA POLICE DEPARTMENT <br />'lease refer to attached ACORD 101 for further remarks. <br />SANTA ANA POLICE DEPARTMENT <br />60 CIVIC CENTER PLAZA <br />SANTA ANA, 9271 O <br />United States <br />ELLA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAN(jELLED RCFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE pE41YLfiBLI IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />>L =t. <br />MARSH USA INC. BY: <br />© 79@6 -2070 ACORD CORPORATION. <br />ACORD 25 (20'10/05) The ACORD name and logo are registered marks of ACORD <br />�wsa;� � qk��- <br />Frenkllq Hellyck. Qklsal Manna <br />T.a " °ItjJ<wJ�t11eL <br />A11119ht1t Ie�arved. <br />